NPI | 1023487451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV MI2920) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 02068) |
103K00000X Behavior Analyst | |
Enumeration Date | 2015-09-16 |
Last Update Date | 2022-05-26 |